NCLEX-PN
NCLEX-PN Free Practice Questions Questions
Extract:
At age 3 months, an infant is admitted to the hospital for a cleft lip repair.
Question 1 of 5
Postoperative nursing care should include:
Correct Answer: B
Rationale: Meticulous care of the suture line is necessary to prevent infection and to provide the best cosmetic effect post-cleft lip repair.
Extract:
Question 2 of 5
The nurse caring for a client with mania understands that the client's behavior is a way of avoiding feelings of despair. The expression of behaviors opposite to those being experienced is an example of which defense mechanism?
Correct Answer: D
Rationale: Reaction formation is the outward expression of feelings that are opposite to those experienced. Answer A refers to the development of physical symptoms in response to inner conflict, so it is incorrect. Answer B refers to the defense mechanism used by those with borderline personality disorder, so it is incorrect. Answer C is incorrect because it's the channeling of unacceptable thoughts and behaviors into socially acceptable behaviors.
Extract:
Stephen is a 58-year-old male patient who has a long history of alcoholism. He develops Laennec's cirrhosis, has ascites, jaundice and is confused.
Question 3 of 5
The nursing priority for Stephen is to
Correct Answer: A
Rationale: Confusion indicates hepatic encephalopathy, making safety measures the priority to prevent injury.
Extract:
Question 4 of 5
A hospitalized client asks the nurse for 'something for pain.' Which information is most important for the nurse to gather before administering the medication? Select all that apply:
Correct Answer: A,B,C,D,F
Rationale: The nurse needs to know when the last dose was administered. Some clients request pain medication earlier than is ordered by the physician. Pain, the fifth vital sign, should be assessed using a pain scale and documented in the nursing notes whenever a pain medication is given. Pain is usually reassessed about 30 minutes after the medication is given. Physicians commonly order several different types of pain medication based on the client's condition. The nurse should know which medication and which route was used to administer prior dosages. Evaluating the effectiveness of medications is also an important nursing function when managing the client's pain.
Therefore, she should ask the client if the prior dose was helpful. The nurse should also note whether the client experienced any adverse effects of the medication. Most medications are ordered based on the client's admission weight, not current weight and height. A client's weight may fluctuate when he's in the hospital, so it's unlikely that the nurse will have the most current weight available. Also, taking steps to obtain the client's current weight postpones the pain treatment and can potentially worsen pain.
Question 5 of 5
A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse include in the plan of care? (Select all that apply)
Correct Answer: A,C,D
Rationale: Pursed-lip breathing improves oxygenation, high-calorie/protein diets support nutrition, and smoking cessation prevents progression. High oxygen risks CO2 retention, and excessive fluids are not standard.